Premier Dental
Dentist, General Practice in Marysville, OH. Organization (NPI-2).
NPI number1720160039
StatusActive
Last updated in NPPESNov 4, 2016
Details
- NPI
- 1720160039
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Dental
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Nov 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 21525 | OH | Yes |
Practice location
17791 Oh- 31Marysville, OH 43040
Phone 937-593-2913
Mailing address
1216 S Main StBellefontaine, OH 43311-1637
Phone 937-593-2913
Authorized official
Jihad Saliba
Owner
9375932913
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